Provider Demographics
NPI:1750790945
Name:RT FAMILY COMMUNITY HEALTH CARE
Entity type:Organization
Organization Name:RT FAMILY COMMUNITY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KUOCHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:BACC/MD
Authorized Official - Phone:512-444-6688
Mailing Address - Street 1:1806 MONTOPOLIS DR
Mailing Address - Street 2:STE M
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-5132
Mailing Address - Country:US
Mailing Address - Phone:512-222-9888
Mailing Address - Fax:512-582-8988
Practice Address - Street 1:6800 W GATE BLVD
Practice Address - Street 2:120
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-4883
Practice Address - Country:US
Practice Address - Phone:512-222-9888
Practice Address - Fax:512-582-8988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR0401X, 282N00000X, 302F00000X, 302R00000X, 3245S0500X
TX251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No282N00000XHospitalsGeneral Acute Care Hospital
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children